What is Periodontal Center of Georgia, PC's NPI number?

Periodontal Center of Georgia, PC's National Provider Identifier (NPI) is 1639930118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Periodontal Center of Georgia, PC?

Periodontal Center of Georgia, PC is classified in the NPPES registry as Periodontics (Dental Providers).

Where is Periodontal Center of Georgia, PC located?

Periodontal Center of Georgia, PC's practice location on file with NPPES is 1920 Ga-20, Conyers, GA 30013-2048.

What is Periodontal Center of Georgia, PC's phone number?

The practice phone number listed in the NPPES registry for Periodontal Center of Georgia, PC is (770) 767-0603.

Who is the authorized official for Periodontal Center of Georgia, PC?

The authorized official listed on Periodontal Center of Georgia, PC's NPPES record is Brittany Bennett, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Periodontal Center of Georgia, PC's NPI active?

Yes — Periodontal Center of Georgia, PC's NPI (1639930118) is active in the NPPES registry as of the last update on 2024-10-31.

OrganizationActive

Periodontal Center of Georgia, PC

NPI 1639930118 · Periodontics · Conyers, GA

Periodontal Center of Georgia, PC is a Periodontics organization in Conyers, GA (NPI 1639930118).

Provider details

NPI number: 1639930118
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Brittany Bennett, Office Manager(770) 922-8733

Practice location

1920 Ga-20

Suite B

Conyers, GA 30013-2048

Phone: (770) 767-0603

Fax: (770) 929-4387

Street-level locationGet directions

More GA providers

Mailing address

1920 Ga-20

Conyers, GA 30013-2048

Specialties & taxonomies

PeriodonticsPrimary1223P0300X
Dental Providers

Other names (DBA / former)

Doing business as: Periodontal Center of Georgia
Doing business as: Periodontal Center of Georgia

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2024-01-22
Last updated: 2024-10-31
Certified: 2024-10-28

Frequently asked questions

What is Periodontal Center of Georgia, PC's NPI number?: Periodontal Center of Georgia, PC's National Provider Identifier (NPI) is 1639930118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Periodontal Center of Georgia, PC?: Periodontal Center of Georgia, PC is classified in the NPPES registry as Periodontics (Dental Providers).
Where is Periodontal Center of Georgia, PC located?: Periodontal Center of Georgia, PC's practice location on file with NPPES is 1920 Ga-20, Conyers, GA 30013-2048.
What is Periodontal Center of Georgia, PC's phone number?: The practice phone number listed in the NPPES registry for Periodontal Center of Georgia, PC is (770) 767-0603.
Who is the authorized official for Periodontal Center of Georgia, PC?: The authorized official listed on Periodontal Center of Georgia, PC's NPPES record is Brittany Bennett, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Periodontal Center of Georgia, PC's NPI active?: Yes — Periodontal Center of Georgia, PC's NPI (1639930118) is active in the NPPES registry as of the last update on 2024-10-31.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions